| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,755 |
7,372 |
$474K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,144 |
997 |
$92K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
650 |
547 |
$47K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,422 |
1,144 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
542 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,681 |
3,062 |
$28K |
| 99442 |
|
294 |
256 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
89 |
$5K |
| 93923 |
|
184 |
63 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,010 |
1,702 |
$4K |
| 95923 |
|
92 |
64 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
65 |
$2K |
| 82947 |
|
1,473 |
1,101 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,600 |
1,440 |
$2K |
| 0072A |
|
41 |
37 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
175 |
$879.77 |
| 0011A |
|
25 |
24 |
$677.75 |
| 95943 |
|
30 |
26 |
$619.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
41 |
$517.25 |
| 0071A |
|
15 |
15 |
$441.31 |
| 0001A |
|
41 |
38 |
$431.63 |
| 99490 |
Ccm add 20min |
37 |
33 |
$360.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,347 |
1,163 |
$343.52 |
| 0012A |
|
14 |
14 |
$311.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
548 |
486 |
$304.60 |
| 90674 |
|
18 |
17 |
$278.52 |
| 0004A |
|
20 |
20 |
$240.32 |
| 99491 |
Ccm add 20min |
21 |
21 |
$228.49 |
| 90686 |
|
16 |
16 |
$146.43 |
| 81003 |
|
81 |
73 |
$105.99 |
| 81000 |
|
67 |
55 |
$89.27 |
| 3044F |
|
373 |
287 |
$0.00 |
| 1126F |
|
415 |
329 |
$0.00 |
| 4010F |
|
266 |
192 |
$0.00 |
| 3048F |
|
211 |
168 |
$0.00 |
| 1036F |
|
552 |
429 |
$0.00 |
| 1125F |
|
246 |
201 |
$0.00 |
| 3008F |
|
635 |
506 |
$0.00 |
| 1000F |
|
97 |
78 |
$0.00 |
| 3074F |
|
254 |
219 |
$0.00 |
| 1160F |
|
225 |
175 |
$0.00 |
| 3078F |
|
319 |
271 |
$0.00 |
| 1159F |
|
347 |
261 |
$0.00 |
| 4013F |
|
230 |
164 |
$0.00 |
| 82948 |
|
17 |
13 |
$0.00 |